Role of Pregabalin to Decrease Postoperative Pain in Microdiscectomy: A Randomized Clinical Trial.

Autor:	Baloch SR; Orthopaedics, Dr. Ziauddin Hospital, Karachi, PAK., Hashmi IA; Orthopedics/ Consultant Spine and Orthopedics Surgeon, Agha Khan University Hospital, Karachi, Karachi, PAK., Rafi MS; Orthopedics Department/ Spine and Orthopedic Surgeon, Dr. Ziauddin Hospital, Karachi, PAK., Wasim A; Department of Research , Ziauddin University, Karachi, PAK., Mazar S; Orthopaedic Surgery, Dr. Ziauddin Hospital, Karachi, PAK., Malick N; Department of Internal Medicine, Dr. Ziauddin Hospital, Karachi, PAK., Tayyab B; Orthopedics/Intern, Dr. Ziauddin Hospital, Karachi, PAK., Riaz H; General Surgery, Bolan Medical Complex Hospital, Quetta, PAK.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2021 Jan 22; Vol. 13 (1), pp. e12870. Date of Electronic Publication: 2021 Jan 22.
DOI:	10.7759/cureus.12870
Abstrakt:	Purpose The purpose of this study is to compare the effect of pregabalin in reducing the neuropathic pain in postoperative patients who have undergone single-level microdiscectomy for prolapsed intervertebral lumbar disc. Methods A randomized control clinical trial was conducted from June 2018 to April 2020 in three campuses Dr. Ziauddin University Hospital, Karachi, by two spinal surgeons. This study included 84 patients who underwent either emergency or elective microdiscectomy surgery. The patients randomized into two equal groups of 42, (group-A: pregabalin) and (group-B: placebo). Both groups also received routine analgesia along with the pregabalin and placebo capsules. In the intervention group, pregabalin was administered preoperative and postoperative defined times. The pain scores were recorded by visual analog scale (VAS) and Roland-Morris score system on the preoperative day and compared to the scores on follow-up on postoperative day seven. Results The pain scores were significantly better in group-A compared to group-B with similar baseline variables. The mean VAS scores of pains in group-A on postoperative day seven on follow-up were compared to VAS pain scores in group-B showing better pain control. The Roland-Morris scores were also significantly better for group-A. Conclusions The use of pregabalin in addition to the routine analgesia has better control of postoperative neuropathic pain in patients with single-level microdiscectomy compared to the patients who are receiving only routine analgesia. Other factors like cost, dose, side effects, and frequency should also be considered. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Baloch et al.)
Databáze:	MEDLINE
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